Deck 20: Orthopedic Management of the Lumbar,thoracic,and Cervical Spine

Question 1

Which diagnosis is described as a stress fracture or fracture in the pars interarticularis?

A) Spondylolisthesis
B) Spondylolysis
C) Muscle strain
D) Radiculopathy

Answer 1

Spondylolysis

Question 2

Which part of the spinal column provides the greatest portion of shock absorption?

A) Vertebral arch
B) Vertebral body
C) Annulus
D) Nucleus pulposus

Answer 2

Vertebral body

Question 3

Select the activity that produces the highest amount of disk pressure.

A) Lifting with a flexed torso
B) Sitting with knees straight out in front of body
C) Isometric abdominal exercises
D) A and B
E) All of the above

Answer 3

A and B

Question 4

Which of the following terms applies to the quantifiable system of job or activity of daily living (ADL)modification (or redesign)that allows for continued productivity while reducing work-related physical stress?

A) Ergonomics
B) Physical capacity assessments
C) Physical therapy
D) None of the above

Question 5

Which classification of spondylolisthesis is defined as degenerative spondylolisthesis,occurs in older adults,and is characterized by a loss of ligament integrity (or stability)that results in forward slippage of the vertebrae?

A) Type I
B) Type II
C) Type III
D) Type IV

Question 6

Which spinal diagnosis is described by a narrowing of the spinal canal that constricts nerve roots and results in radicular ache in the thigh,paresthesias into the leg,and disturbances in motor function?

A) Lumbar spondylosis
B) Lumbar spine fracture
C) Spondylolisthesis
D) Spinal stenosis

Question 7

Which of the following is an age-related degenerative change within the disk?

A) Increased hydration
B) Increased water content to 88% by age 30
C) Decrease in collagen
D) Biochemical changes in the glycosaminoglycans of the nucleus

Question 8

Following microsurgical diskectomy or automated percutaneous diskectomy,what technique does the patient use to turn in bed or move from a supine to sitting position?

A) Total lift by two people
B) Assistance to standing by two people
C) Log roll
D) Independent movement and sitting

Question 9

Select the injury whose short- and long-range goals for recovery emphasize protecting the spine from unwanted forces and positions?

A) Ligament sprains
B) Muscle strains
C) Both A and B
D) Neither A nor B

Question 10

Which subgrouping of the treatment-based classification (TBC)would most likely apply to a client with chronic or recurring symptoms of low-back pain,an average straight leg raise > 91°,and the presence of aberrant motions?

A) Manual therapy and exercise
B) Specific exercise for directional preference
C) Traction
D) Neuromuscular reeducation and stabilization exercise
E) Aerobic exercise

Question 11

Which of the following terms is defined as an increase in the thoracic posterior convexity that is manifested by a rounded-back (protracted scapulae)posture?

A) Kyphosis
B) Lordosis
C) Scoliosis
D) Cervical radiculopathy

Question 12

Which subgrouping of the TBC would apply to a client with back pain for a short period of time,no symptoms distal to the knee,and low fear avoidance?

A) Manual therapy and exercise
B) Specific exercise for directional preference
C) Traction
D) Neuromuscular reeducation and stabilization exercise
E) Aerobic exercise

Question 13

What is another term for spondylosis?

A) Decompression of the spine
B) Osteoarthritis of the spine
C) Grade V bone tumor of the spine
D) Spinal stenosis

Question 14

Your 80-year-old patient complains of pain doing daily activities such as lifting or rising from a chair.She has a diagnosis of osteoporosis and is in therapy for the back pain.What diagnosis would you consider first?

A) Compression fracture
B) Spondylolisthesis
C) Spinal stenosis
D) Muscle sprain

Question 15

Which one of the following injuries produces the symptoms of pain and paresthesias,strength loss in a myotomal distribution,and sensory loss in a dermatomal pattern,found during a physical examination by the physical therapist,and caused by inflammation of a nerve root?

A) Muscle sprain
B) Muscle strain
C) Radiculopathy
D) Spondylolysis

Question 16

Which of the following motions is normal for the spine?

A) Flexion
B) Extension
C) Lateral flexion
D) Rotation
E) All of the above

Question 17

Which of the following people would be ideal candidates for back training (back school)?

A) An 18-year-old high school athlete who works part time at the local hardware store
B) A 35-year-old nurse who works on an orthopedic unit
C) A 45-year-old employee at an airport who loads and unloads baggage
D) All of the above

Question 18

Which of the five Ls refers to the amount of weight to be hoisted by an individual?

A) Load
B) Lever
C) Lordosis
D) Legs
E) Lungs

Question 19

Which region of the spine serves to support the weight of the upper body and dissipate compressive loads?

A) Cervical
B) Thoracic
C) Lumbar
D) Sacral

Question 20

Which classification of spondylolisthesis is defined as pathologic and is characterized by bone tumors that affect the pars interarticularis?

A) Type II
B) Type III
C) Type IV
D) Type V